WAL-MART STORES EAST, LP (NPI# 1114016045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114016045 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST, LP |
| Other Organization Name | VISION CENTER 30-0661 |
| Practice Address |
1011 Us Highway 72 E Athens AL 35611-4319 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0235 |
| Practice Telephone | 2562302981 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NICOLE D GENTILE (NPI COORIDNATOR) |
| Authorized Official Telephone | 3167885580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Vision Center 30-0661 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1184156317 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 270 Heald Way, The Villages, FL 32163-6003 | 2017-03-28 |
| 1730611971 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 4401 Poole Rd., Raleigh, NC 27603-0000 | 2017-03-28 |
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1760933196 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 1705 S Kings Hwy, Myrtle Beach, SC 29577-4601 | 2016-10-20 |
| 1700335312 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 3045 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-0000 | 2016-09-23 |
| 1619425683 | Wal-mart Stores East, Lp | Technician/Technologist | 11930 Narcoossee Road, Orlando, FL 32832-0000 | 2016-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WAL-MART STORES EAST, LP | 708 Sw 8th Street, Bentonville, AR 72716 |
| Massachusetts Corporations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oklahoma Business Registrations | WAL-MART STORES EAST, LP | 702 Sw 8th Street, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WAL-MART STORES EAST, LP, A LIMITED PARTNERSHIP OF DELAWARE | 708 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
1011 US HIGHWAY 72 E |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1011 Us Highway 72 E, Athens, AL 35611-4319 | 2006-07-16 |
| 1225635543 | Mzh Eye Care Professionals of Athens PC | Clinic/Center | 1011 Us Highway 72 E, Athens, AL 35611-4319 | 2020-10-09 |
| 1023503968 | Jeremy Glenn Moses | Pharmacist | 1011 Us Highway 72 E, Athens, AL 35611-4319 | 2018-06-23 |
| 1821512344 | Sara Glenn Tanksley | Pharmacist | 1011 Us Highway 72 E, Athens, AL 35611-4319 | 2017-07-26 |
| 1790798213 | Ann B. Chastain | Optometrist | 1011 Us Highway 72 E, Athens, AL 35611-4319 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| Find all providers in zip 35611 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659641579 | Your Eyes Optical | Technician/Technologist | 1260 Us Highway 72 E, Suite C, Athens, AL 35611-5136 | 2012-01-09 |
| 1710105416 | Pamela Edmondson Correll | Technician/Technologist | 2440 West Broad Street, Suite 14, Athens, GA 30606 | 2007-04-20 |
| 1386660942 | East Texas Eye Care Associates, Pllc | Technician/Technologist | 608 Maryland Dr, Athens, TX 75751-3332 | 2006-07-15 |
| 1326018458 | Philip Friedland | Technician/Technologist | 3700 Atlanta Hwy, Athens, GA 30606-7201 | 2006-01-23 |
| 1457582306 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2009-07-27 |
| 1215188305 | Visual Eyes | Technician/Technologist | 2416 Congress Pkwy S, Athens, TN 37303-2822 | 2008-10-07 |
| 1871757971 | Logan Opticians Inc | Technician/Technologist | 740 Prince Avenue, Building 15, Athens, GA 30606 | 2008-07-17 |
| 1598984627 | John C Reed | Technician/Technologist | 957 Baxter St, Athens, GA 30606-3754 | 2007-04-25 |
| 1285717306 | Wal-mart Stores East, Lp | Technician/Technologist | 1815 Decatur Pike, Athens, TN 37303-4932 | 2006-10-23 |
| 1497837520 | Wal-mart Stores East, Lp | Technician/Technologist | 1911 Epps Bridge Pkwy, Athens, GA 30606-6130 | 2006-10-19 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on WAL-MART STORES EAST, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.